HomeMy WebLinkAbout700 Bonita Ave - Applications/Single Family New - 07/09/1986P.O. Box 580
Fort.Collins. CO 80522
20336. .
CITY OF FORT COCLINS
NOTICE OF BUILDING PERMIT APPLICATION,
Building Address
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D7r-
PROPERTY,
LEGAL
Subdivision or P.U.D.+ Filing No.
Lot No. % Block No.
DESCRIPTION
Lot Area
Corner Lot:
Total Street Frontage (lineal feet)
GJ %
/ !
Yes ' No
Name
AV ,
CONTRACTOR
Address City State Zip Code
3
Name
Phone
OWNER
•- /�
otr v- C�o ea /e
Address City State Zip Code
Single Family Commercial ❑ Number of Units:
USE OF
BUILDING
Multi -Family ❑ Other.
TYPE OF
Gas Electric ❑ Heat Pump ❑ Baseboard ❑ Radiant ❑' _OitieO
HEAT
.
WATER ANDj
Metered ❑ Flat Rate
SEWER
Water Tap Size:
Sewer Tap Size: _fj�—
jDrainage
Basin go(& t �
Gross Area a `
$TORMWATER
Sa a Rate�VMp
Runoff Coefficient
Detention Reduction Factor
Floodpl
UTILITY
-r
6 .� ! Q
. q
f
Yes �N
Afro be
Utii y Fund Num er
Storm Draina a Basin Fee 1
by others)
1V_
Stormwater Utility Signature
NOTE:
1 understand that the Storm Drainage Basin Fee must be paid prior to the issuance of a Cer-
tificate of Occupancy. I further understand that if drainage improvements are required for
this site, two (2) copies of a drainage report and a drainage plan, signed and stamped by a
APPLICANT
Colorado -registered Professional Engineer, must.be submitted to the Stormwater Utility for
approval before a Certificate of Occupancy will be issued.
Signature of Applicant���L
Date:
DISTRIBUTION t. Original: Applicant — 2. White: Building Inspection — 3. Gold: Stormwater Utility — 4. Blue:. Transportation Utility
- 5. Pink:,Light & Power,— 6. Yellow: Water & Sewer '